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Department of Endodontology 611 SW Campus Drive, SD130B Portland, OR 97239 pH: 503-494-4248 Fax: 503-494-8486 Chart #: For office use only ENDODONTIC REFERRAL FORM Please mail this form and radiographs

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To download a referral means to obtain a copy of the referral document from a designated source or platform, typically in digital format.

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